JEFFERSON KEITH SWISHER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005742

License Status

NOT RENEWED

Business

First Name

JEFFERSON

Middle

KEITH

Last Name

SWISHER

Business Name

JEFFERSON KEITH SWISHER

Original Issue Date

12/01/2015

Effective Date

02/02/2022

Expiration Date

03/01/2024

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025